Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions
Abstract
:1. Introduction
- The rescreening volume and neonates’ origin;
- The performance of rescreening in neonates born in the center’s maternity ward;
- The performance of screening and rescreening in neonates born outside the center’s maternity ward;
- To determine the rescreening times in both groups;
- To know the final ENT diagnosis.
2. Materials and Methods
2.1. Protocol
2.2. Techniques or Equipment
2.2.1. Transient Evoked Otoacoustic Emissions (TEOAE)
2.2.2. Automatic Auditory Brainstem Response (AABR)
2.2.3. Data Analysis
2.3. Study Variables
- TEOAE test result in first and second test (normal/altered);
- ABR test result (normal/altered);
- Hospital of birth (internal/external);
- Test in otorhinolaryngology (ENT) (normal/altered);
- Intervals in days between the different phases of the screening.
3. Results
4. Discussion
4.1. Hospital of Birth of Screened Newborns
4.2. Rescreening Timing
4.3. Quality of Care
4.4. Screening and ENT Results
4.5. Losses (Lost to Follow Up)
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | Total | |
---|---|---|---|---|---|---|---|---|---|
Internal | 82 | 115 | 93 | 88 | 84 | 59 | 92 | 77 | 690 (61.07%) |
External | 90 | 81 | 103 | 67 | 44 | 22 | 21 | 12 | 440 (38.93%) |
Total | 172 | 196 | 196 | 155 | 128 | 81 | 113 | 89 | 1130 |
Internal | External | |
---|---|---|
Maternity | 2.57 | |
1st test | 25.41 | 33.91 |
2nd test | 64.86 | 51.37 |
ENT | 90.11 | 104.33 |
Origin | Birth to 1st Outpatient Clinic Test | 1st to 2nd Outpatient Clinic Test | to ENT |
---|---|---|---|
Internal | 23 | 19 | 41 |
External | 29 | 13 | 53 |
Origin | Normal | Altered | ||
---|---|---|---|---|
Internal: n = 53 (85.48%) | 34 | 64.15% | 19 | 35.85% |
External: n = 9 (14.52%) | 7 | 77.78% | 2 | 22.22% |
Results | 41 | 66.13% | 21 | 33.87% |
Results | Internal | |
Normal | 661 | 97.21% |
Altered | 19 | 2.79% |
External | ||
Normal | 435 | 99.54% |
Altered | 2 | 0.46% |
LFU | Cases | Losses | % |
---|---|---|---|
Internal | 690 | 10 | 1.45% |
1st test | 690 | 4 | 0.58% |
2nd test | 65 | 1 | 1.54% |
ENT | 58 | 5 | 8.62% |
External | 440 | 3 | 0.68% |
1st test | 440 | 2 | 0.45% |
2nd test | 29 | 1 | 3.45% |
ENT | 9 | 0 | 0.00% |
Total | 1130 | 13 | 1.15% |
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Gómez-Delgado, M.; Sequi-Sabater, J.M.; Marco-Sabater, A.; Lora-Martin, A.; Aparisi-Climent, V.; Sequi-Canet, J.M. Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions. Audiol. Res. 2023, 13, 655-669. https://doi.org/10.3390/audiolres13040058
Gómez-Delgado M, Sequi-Sabater JM, Marco-Sabater A, Lora-Martin A, Aparisi-Climent V, Sequi-Canet JM. Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions. Audiology Research. 2023; 13(4):655-669. https://doi.org/10.3390/audiolres13040058
Chicago/Turabian StyleGómez-Delgado, Marta, Jose Miguel Sequi-Sabater, Ana Marco-Sabater, Alberto Lora-Martin, Victor Aparisi-Climent, and Jose Miguel Sequi-Canet. 2023. "Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions" Audiology Research 13, no. 4: 655-669. https://doi.org/10.3390/audiolres13040058
APA StyleGómez-Delgado, M., Sequi-Sabater, J. M., Marco-Sabater, A., Lora-Martin, A., Aparisi-Climent, V., & Sequi-Canet, J. M. (2023). Neonatal Hearing Rescreening in a Second-Level Hospital: Problems and Solutions. Audiology Research, 13(4), 655-669. https://doi.org/10.3390/audiolres13040058